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F .w <br /> � ab <br /> Amp, WORK ORDER M 03 - C7D❑ <br /> Cooler Of <br /> SAMPLE RECEIPT FORAM <br /> CLIENT: DATE: /D� <br /> F <br /> ATURE—SAMPLES RECEIVED BY: <br /> NCE COURIER: LABORATORY(Other than Calecierwe Courier): <br /> hilled. Cooler with temperabire blank provided. °C Temperature blank. <br /> Chilled,cooler without temperature blank °C IR thermometer. <br /> Chilled and pled In cooler with wet toe. Ambient temperature. <br /> Ambient and placed in 000ler with wet fee. <br /> Ambient tempersturs. <br /> °C Temperature blank. Inift„� 1 <br /> CUSTODY SEAT.INTACT: <br /> Sample(e): CoolerNo(Not Intact): Not Applicable(NIA): <br /> Initial: <br /> SAMPLE CONDITION: <br /> Yea No WA <br /> Chain-WCBody document(s)rocehred with samples......................... ��,..,.. .... <br /> Sample container label(s)consistent with custody papers..................... .,... ....... <br /> Sample container(s)intact and good condition.................................. .... ....... <br /> Correct containers for analyses requested........... ............................. _�. . .... .... <br /> Proper preservation nobed on sample label(s)..................................... .... r <br /> VOAvial(e)free of headspace. ............... ....... ............................. .. .... <br /> Tedlar bugle)free of condensation................................................... ....... ... ,... �� <br /> Initial: <br /> COMMENTS: <br />